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Montana rates for HCPCS L3320

Lift, elevation, heel and sole, cork, per in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $86.44 / $86.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.95 / $37.95 / $130.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.95 / $40.45 / $128.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.95 / $79.78 / $130.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.95 / $118.41 / $153.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.66 / $52.84 / $78.61